Active NPI
Gina Kleve Dardine, PA
- Physician Assistant
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12782
- Practice address
- 237 Radio Drive
Suite 210
Woodbury, MN 55125 - Phone
- (612) 502-5092
- Fax
- (612) 870-5491
- NPI assigned
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12782 | MN | Primary |
Addresses
Primary practice location
237 Radio Drive
Suite 210
Woodbury, MN 55125
Mailing address
3001 Broadway St. NE
Suite 500
Minneapolis, MN 55413
Phone (612) 871-1145
Other names 1
- Gina Kleve Bernier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10150 Niagara LN N
Suite 210
Maple Grove, MN 55369-7588
Phone (612) 871-1145
1185 Town Centre Dr
Suite 200
Eagan, MN 55123-1343
Phone (612) 871-1145
15700 37TH Ave N
Plymouth, MN 55446-3399
Phone (612) 871-1145
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000
2651 Hillcrest Dr
Hudson, WI 54016-9919
Phone (612) 871-1145
3001 Broadway St NE
B700
Minneapolis, MN 55413-2195
Phone (612) 871-1145
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000
Hospital & facility affiliations
- Allina United Hospital
- M Health Fairview St John'S Hospital
- M Health Fairview Woodwinds Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12782 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mngi Endoscopy ASC Inc | Past | Accepting new patients |
Interoperability endpoints
- gina.bernierpa.p1@direct.mngastro.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Minneapolis, MN
- NPI 1669496345
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1477036317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 BROADWAY ST. NE",
"address_2": "SUITE 500",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55413",
"telephone_number": "612-871-1145",
"fax_number": "612-870-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 RADIO DRIVE",
"address_2": "SUITE 210",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "612-502-5092",
"fax_number": "612-870-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARDINE",
"first_name": "GINA",
"middle_name": "KLEVE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "12782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "BERNIER",
"middle_name": "KLEVE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.